Sybrava 284mg/1.5 ml Pre-Filled Syringe Rx

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Original price was: RM5,650.00.Current price is: RM5,562.50.

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Pre-Order Item (Delivered Within 7 - 14 Days)

While this product may not be readily stocked, it's available for pre-order. Please anticipate a delivery time of 5 to 7 working days for MY and 5 to 12 days for SG customers. Once your order has been placed with our supplier, cancellations will not be accepted.

Description

Sybrava 284mg/1.5 ml Pre-Filled Syringe 1s

Introduction

Sybrava 284mg/1.5 ml Pre-Filled Syringe is a prescription-only injectable medicine containing Inclisiran, a small interfering RNA (siRNA)-based therapy. It is designed to act at the molecular level within liver cells to regulate the production of specific proteins involved in lipid metabolism.

Inclisiran works by selectively silencing the messenger RNA responsible for the synthesis of proprotein convertase subtilisin/kexin type 9 (PCSK9). By reducing PCSK9 levels, it enhances the liver’s natural ability to remove low-density lipoprotein (LDL) particles from the bloodstream. This targeted mechanism allows for sustained therapeutic effects with infrequent dosing.

Due to its long-acting nature and novel mechanism, ongoing monitoring and adherence to scheduled dosing are essential components of therapy.

Administration

This medication is administered as a subcutaneous injection (under the skin). It should be given by a qualified healthcare professional or under medical supervision, unless otherwise instructed.

  • Common injection sites include the abdomen, upper arm, or thigh
  • Injection sites should be rotated to minimize local irritation
  • The pre-filled syringe is single-use and should not be reused
  • Allow the syringe to reach room temperature before administration if taken from refrigeration
  • Avoid injecting into areas with skin irritation, bruising, or infection

Dosage & Treatment Schedule

The standard dosing regimen involves an initial dose, followed by a second dose at 3 months, and subsequent maintenance doses every 6 months thereafter. This extended dosing interval is made possible by the prolonged activity of Inclisiran at the genetic level.

Dosage adjustments are generally not required in most patients; however, all dosing decisions should be made by a healthcare provider based on individual clinical assessment.

Shelf Life

Sybrava pre-filled syringes typically have a shelf life of up to 24 months when stored under recommended conditions. Always check the expiry date on the packaging prior to administration and do not use expired product.

Storage Instructions

  • Store in a refrigerator at 2°C to 8°C
  • Do not freeze, as freezing may compromise stability
  • Keep the syringe in its original carton to protect from light
  • If necessary, it may be kept at room temperature (below 25°C) for a limited duration
  • Avoid exposure to excessive heat, humidity, or direct sunlight
  • Keep out of reach of children and pets
  • Dispose of used syringes in an approved sharps container

Composition

Active Ingredient Inclisiran
Strength 284mg per 1.5 ml
Dosage Form Solution for subcutaneous injection (pre-filled syringe)
Pharmacological Class siRNA-based PCSK9 synthesis inhibitor

The formulation also contains inactive excipients that support stability and delivery. Refer to the official product leaflet for the complete list, especially if you have known sensitivities.

Side Effects

As with any injectable therapy, some individuals may experience side effects. These are generally mild to moderate and often resolve without intervention.

Common:

  • Injection site reactions (pain, redness, swelling, or rash)
  • Joint pain (arthralgia)
  • Mild respiratory symptoms such as bronchitis
  • Urinary tract infections
  • Fatigue

Less Common:

  • Skin hypersensitivity reactions
  • Localized rash or itching
  • Mild elevation in liver enzymes

Serious (Require Immediate Attention):

  • Severe allergic reactions (facial swelling, breathing difficulty)
  • Persistent or worsening systemic symptoms

Contraindications

  • Known hypersensitivity to Inclisiran or any formulation components
  • Pregnancy or breastfeeding unless clearly advised by a healthcare professional
  • Severe hepatic impairment without medical supervision
  • Use in paediatric populations unless prescribed by a specialist

Drug Interactions

Inclisiran has a low potential for drug-drug interactions due to its mechanism of action and metabolic pathway.

  • No significant interactions with statins or other lipid-modifying therapies
  • Minimal involvement with cytochrome P450 enzyme systems
  • Always inform your healthcare provider about all medications and supplements

Food & Lifestyle Considerations

  • No specific dietary restrictions are required
  • A balanced, heart-conscious diet is recommended
  • Regular physical activity supports overall outcomes
  • Moderate alcohol intake is advisable

Monitoring & Precautions

  • Periodic lipid profile monitoring is recommended
  • Liver function may be assessed in certain patients
  • Adherence to scheduled dosing is critical for sustained effect
  • Report any unusual or persistent symptoms promptly

Quick Tips

  • Follow the prescribed dosing timeline strictly
  • Do not skip scheduled injections
  • Inspect the solution before administration
  • Ensure proper refrigerated storage at all times
  • Do not shake the syringe
  • Do not share medication with others
  • Maintain regular follow-up appointments

FAQs

Q1: Can I buy Sybrava 284mg/1.5 ml Pre-Filled Syringe online from DoctorOnCall?
Yes, Sybrava is available through DoctorOnCall for delivery in Singapore, Malaysia, and Indonesia. As this is a prescription-only medicine, your order can only be processed after a valid prescription from a licensed doctor in your respective country is verified.

Q2: Do I need a prescription to order Sybrava?
Yes. Sybrava (Inclisiran) is a prescription-only biologic medication in all three countries. A valid prescription issued by a registered healthcare practitioner in Singapore, Malaysia, or Indonesia is required before dispensing.

Q3: How do I submit my prescription when ordering online?
During checkout, you can upload a clear photo or scanned copy of your prescription. Our pharmacist team will review and verify it before confirming your order. If you need assistance, our customer support team will guide you through the process.

Q4: Is the Sybrava sold by DoctorOnCall authentic?
Yes. All medicines supplied by DoctorOnCall are sourced from authorised distributors and licensed pharmaceutical suppliers in each country. We comply with applicable regulatory standards to ensure all products are genuine, safe, and properly handled.

Q5: Do you deliver Sybrava to Singapore, Malaysia, and Indonesia?
Yes, we deliver across:

  • Singapore (nationwide)
  • Malaysia (Peninsular and East Malaysia)
  • Indonesia (selected cities/regions depending on cold chain coverage)

Availability may vary slightly depending on location and logistics feasibility.

Q6: How is Sybrava kept cold during delivery?
Sybrava is a temperature-sensitive biologic that must be stored between 2°C and 8°C. We use validated cold chain packaging, including insulated containers and pharmaceutical-grade cooling materials, to maintain the required temperature throughout transit. Please refrigerate immediately upon receipt.

Q7: What should I do if my Sybrava arrives damaged or not cold?
Do not use the product. Contact our customer support team immediately and provide photos of the item and packaging. We will investigate and arrange a replacement or refund in accordance with our policy.

Q8: How long does delivery take?
Estimated delivery timelines:

  • Singapore: 2–4 working days
  • Malaysia: 1–3 working days (Peninsular), 3–5 days (East Malaysia)
  • Indonesia: 5-7 working days (depending on location)

You will receive a tracking link once your order is dispatched.

Q9: Can I return or get a refund after purchasing Sybrava?
Due to regulatory requirements and strict cold chain handling, returns are generally not accepted once dispatched. Exceptions apply only if the product is defective, damaged, or incorrectly supplied.

Q10: Is Sybrava covered by insurance or subsidies?
Coverage depends on your private insurance plan or employer benefits in your country. We recommend checking directly with your insurer. DoctorOnCall can provide official invoices and supporting documents for claims.

Additional information

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Authorship

Writer Avatar
Written by: Dr Sri Viknarajan
MD (Universiti Hasanuddin, Indonesia)
Reviewer Avatar
Reviewed by: Dr Nur Syuhada binti Zulkifli
MD Universiti Kebangsaan Malaysia (UKM)
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